Pritchard, C., Foulkes, L. M., Lang, D. A. and Neil-Dwyer, G., 2004. Two-year prospective study of psychosocial outcomes and a cost-analysis of ‘treatment-as-usual’ versus an ‘enhanced’ (specialist liaison nurse) service for aneurismal sub arachnoid haemorrhage (ASAH) patients and families. British Journal of Neurosurgery, 18 (4), pp. 347-356.
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An 18-month retrospective study of 'treatment-as-usual' of aneurysmal subarachnoid haemorrhage (ASAH, n = 142) used as control to compare prospective study ( n = 184) of an 'enhanced' ('Specialist Liaison Nurse'--SLN) service to reduce psychosocial trauma. Consultant notes, Glasgow Coma Scores and 'High Risk' bleeds scores provided clinical data. A standardized patient/carer designed questionnaire provided psychosocial data, plus a cost-analysis. The cohorts were good clinical and social matches. Sixty-five per cent of patients had 'high risk' bleeds, and 81% were Grade 1 and 2 on the GCS, 54% aged less than 55 years, 83% belonged to social classes 1 - 3 and 32% had school-aged children. Satisfaction with SLN inpatient and discharge care increased significantly, with reduced psychosocial trauma. The SLN produced net 'savings' of £155,000 p.a., from reduced time-off work, medical time and re-admissions. Prospectively, £1.6 + million annual 'savings' were identified on 80% of employed patients returning to work. Long-term dysfunctional stress is not inevitable for most ASAH patients as a SLN is clinically and fiscally cost-effective. [ABSTRACT FROM AUTHOR]
|Uncontrolled Keywords:||Cost-analysis; Psychosocial trauma; Specialist nurse; Subarachnoid Haemorrhage; Brain diseases; Brain Hemorrhage; Nervous system - Surgery; Spinal cord - Hemorrhage|
|Subjects:||Technology > Medicine and Health|
|Group:||School of Health and Social Care > Centre for Social Work and Social Policy|
|Deposited By:||Mr Adam Field|
|Deposited On:||03 Jan 2008|
|Last Modified:||07 Mar 2013 14:44|
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